CCN: 355106 NPI: 1710082904 Organization

GOOD SAMARITAN SOCIETY MILLER POINTE A PROSPERA CO

3500 21ST ST SE
MANDAN, ND 585541341

Contact Information

Phone 7016634274
Fax 7016630359
Enumeration Date 2006-09-13
Last Updated 2021-11-28

Taxonomies

Code: 314000000X (Primary) License State: ND License: 1090

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9890409335

censusDivision 4

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 1.0119069612

censusDivision 4

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9832760209

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 1.0103183597

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 1.028045043

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9825985175

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9825985175

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01